MRI of both breasts with and without contrast

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MRI scan of both breasts

Payers reporting CPT 77049

Payer pricing summary

Low

$219

Average

$1.5k

Median

$1.4k

High

$4.9k

Payer rate distribution

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#
1	Anthem fee schedule · outpatient · +26 other terms	142	$830	$591	$512	87%	561–615	$107 – $3.2k
2	UnitedHealthcare fee schedule · outpatient · +36 other terms	574	$558	$666	$636	95%	122–212	$1 – $4.8k
3	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	310	$840	$958	$824	86%	87	$1 – $5.9k
4	Bcbs Mt fee schedule · outpatient	1	$820	$820	—	—	87	$820 – $820
5	Cigna fee schedule · outpatient · +31 other terms	224	$867	$928	$540	58%	86–104	$56 – $5.7k
6	Aetna fee schedule · outpatient · +34 other terms	327	$579	$978	$1.0k	103%	39–93	$1 – $8.4k
7	Molina fee schedule · outpatient · +30 other terms	77	$317	$498	$384	77%	12–21	$1 – $1.9k
8	Humana fee schedule · outpatient · +26 other terms	164	$350	$783	$656	84%	—	$1 – $5.0k
9	WellCare fee schedule · both · +20 other terms	62	$224	$233	$98	42%	—	$84 – $573
10	Kaiser fee schedule · both · +22 other terms	50	$638	$670	$403	60%	—	$233 – $1.6k
11	Ambetter fee schedule · both · +20 other terms	40	$397	$445	$308	69%	—	$99 – $1.1k
12	MultiPlan fee schedule · outpatient · +18 other terms	36	$2.3k	$2.2k	$1.3k	60%	—	$224 – $4.9k
13	Aetna Better Health fee schedule · outpatient · +15 other terms	28	$313	$423	$284	67%	—	$180 – $1.1k
14	Caresource fee schedule · outpatient · +18 other terms	28	$1.8k	$3.0k	$1.9k	64%	—	$313 – $4.8k
15	Highmark fee schedule · outpatient · +16 other terms	28	$339	$366	$203	55%	—	$126 – $2.2k
16	Medicaid fee schedule · both · +15 other terms	28	$385	$581	$347	60%	—	$75 – $1.1k
17	Medicare other · both · +18 other terms	28	$378	$394	$15	4%	—	$327 – $513
18	Medica fee schedule · outpatient · +27 other terms	27	$563	$749	$716	96%	—	$88 – $4.4k
19	Regence professional · fee schedule · outpatient · +17 other terms	27	$172	$308	$206	67%	—	$105 – $893
20	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	26	$2.0k	$1.9k	$164	8%	—	$1.7k – $2.1k
21	Optum professional · fee schedule · outpatient · +17 other terms	25	$224	$206	$103	50%	—	$75 – $396
22	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	25	$469	$502	$163	32%	—	$250 – $969
23	Bcbs Mn fee schedule · outpatient · +11 other terms	24	$744	$1.4k	$773	54%	—	$81 – $2.3k
24	Devoted fee schedule · outpatient · +15 other terms	23	$336	$296	$64	22%	—	$113 – $350
25	Tricare fee schedule · both · +17 other terms	22	$321	$286	$65	23%	—	$103 – $337

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